妊娠并发症预防中孕期健康保健管理的作用  

The role of pregnancy health care management in the prevention of pregnancy complications

作　　者：张秀华 ZHANG Xiu-hua(Department of Obstetrics and Gynecology,Tianjin Binhai New Area Hangzhou Road Street Community Health Service Center,Tianjin 300456,China)

机构地区：[1]天津市滨海新区杭州道街社区卫生服务中心妇产科,天津300456

出　　处：《中国城乡企业卫生》2024年第12期50-53,共4页Chinese Journal of Urban and Rural Enterprise Hygiene

摘　　要：目的分析孕期健康保健管理干预预防妊娠并发症的效果。方法选取2022年1月—2023年8月天津市滨海新区杭州道街社区卫生服务中心接收的84例妊娠期孕妇为研究对象,以随机数字表法分为对照组和观察组各42例。对照组孕妇给予常规孕期检查干预,观察组孕妇在对照组基础上进行孕期保健管理干预。比较两组孕妇依从率、妊娠并发症发生率及心理状态。结果观察组总依从率为95.24%,高于对照组的73.81%,差异有统计学意义(χ^(2)=7.372,P<0.05)。观察组并发症发生率为4.76%,低于对照组的21.43%,差异有统计学意义(χ^(2)=5.126,P<0.05)。干预前,两组抑郁-焦虑-压力量表(DASS)评分比较,差异无统计学意义(P>0.05);干预后,两组DASS评分均降低,且观察组低于对照组,差异均有统计学意义(P<0.05)。结论经孕期健康保健管理可有效改善孕妇负面情绪,减轻其心理压力,提高其配合度,减少并发症发生,对孕妇预后改善有重要意义,值得临床推广借鉴。Objective To analyze the effectiveness of pregnancy health care management interventions in preventing pregnancy complications.Methods A total of 84 pregnant women who were admitted to Tianjin Binhai New Area Hangzhou Road Street Community Health Service Center from January 2022 to August 2023 were selected as the study subjects.They were divided into control group and observation group with 42 cases in each group using a random number table method.The pregnant women received routine prenatal examination intervention,and the pregnant women in the observation group received pregnancy health care management intervention on the basis of the control group.The rate of compliance,incidence of pregnancy complications and psychological status between the two groups of pregnant women were compared.Results The total compliance rate of the observation group was 95.24%,which was higher than 73.81%of the control group,and the difference was statistically significant(χ^(2)=7.372,P<0.05).The incidence of complications in the observation group was 4.76%,which was lower than 21.43%in the control group,and the difference was statistically significant(χ^(2)=5.126,P<0.05).Before intervention,there was no statistically significant difference in the depression-anxiety-stress scale(DASS)scores between the two groups(P>0.05);after intervention,the DASS scores of both groups decreased,and the observation group was lower than the control group,and the differences were statistically significant(P<0.05).Conclusion Health care management during pregnancy could effectively improve negative emotions of pregnant women,alleviate their psychological pressure,improve their coordination,reduce the occurrence of complications,and had important significance for improving the prognosis of pregnant women.It was worthy of clinical promotion and reference.

关 键 词：妊娠期 孕期健康保健管理 并发症 心理状态 

分 类 号：R181.2[医药卫生—流行病学]